The Medical clinics of North America
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Med. Clin. North Am. · Nov 2023
ReviewBrief Action Planning in Health and Health Care: A Scoping Review.
Achieving maximal health outcomes via health promotion and disease prevention requires the adoption of healthy behaviors. Brief action planning (BAP) is a method for patient self-management, health behavior change, and health coaching with potentially broad implications for and clinical applications in health and health care contexts. This scoping review presents 5 major findings about the literature on BAP: the principal geographic locations and the clinical contexts of its application, the types of research evaluations that it has undergone to date, the theoretic frameworks in which it is grounded, and the fidelity of its use in clinical practice.
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Med. Clin. North Am. · Nov 2023
ReviewRethinking Health and Health Care: How Clinicians and Practice Groups Can Better Promote Whole Health and Well-Being for People and Communities.
A new National Academies of Sciences, Engineering, and Medicine report, "Achieving Whole Health: A New Approach for Veterans and the Nation," redefines what it means to be healthy and creates a roadmap for health systems, including the Veterans Health Administration and the nation, to scale and spread a whole health approach to care. The report identifies 5 foundational elements for whole health care and sets 6 national, state, and local policy goals for change. This article summarizes the report, emphasizes the importance of preventive medicine, and identifies concrete actions clinicians and practices can take now to deliver whole health care.
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Med. Clin. North Am. · Nov 2023
ReviewLifestyle Medicine: Prevention, Treatment, and Reversal of Disease.
Lifestyle medicine (LM) expands the scope of preventive medicine by focusing on the promotion of healthy lifestyles while preventing, treating, and reversing the vast majority of chronic diseases caused by behaviors and environmental factors. LM focuses on six pillars-a plant-predominant eating pattern; physical movement; restorative sleep; management of stress; avoidance of risky substances; and positive social connections. Advances in LM competencies, education, certification, resources, and practice models are accelerating with a particular need and focus on underserved and most seriously impacted patients and communities. A comprehensive and integrated strategy addressing "whole person health" is emerging as a compelling framework for providers and health systems which combines a foundational commitment to prevention with a systematic approach to the actual and root causes of premature disease, disability, and death.
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Clinicians play an important role in the prevention of unintentional injuries. Falls and motor vehicle crashes (MVC) have predictable and overlapping antecedents. ⋯ Fall-prevention measures, such as strength training, need to be more widely prescribed by physicians and implemented by older adults. Technologically tailored approaches are needed to leverage fall-reduction programs at home, as well as education of older adults regarding home hazards.
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Med. Clin. North Am. · Nov 2023
ReviewWomen's Clinical Preventive Services: Closing the Gaps and Implementing in Practice.
Evidence-based clinical preventive services have the potential to reduce morbidity and mortality and optimize health. The Affordable Care Act mandates coverage without cost-sharing for several clinical preventive services. The Women's Preventive Services Initiative (WPSI) has worked to and continues to identify gaps in recommended preventive services for women. The WPSI Well-Woman Chart and the accompanying Clinical Summary Tables can be used at the point of care to ensure women are offered and receive all the preventive services recommended for their age and circumstance.